SANDRA M LAWRENCE M.D. - NPI 1861489692 - Pediatrics in Fort Myers, FL

Q: What is Sandra Lawrence's NPI number?

The NPI number for Sandra Lawrence is 1861489692. It was assigned to this individual provider in the NPPES registry on October 6, 2005.

Q: What is Sandra Lawrence's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Rheumatology, with taxonomy code 2080P0216X.

Q: When was this NPI record last updated?

The NPPES record for Sandra Lawrence was last updated on April 10, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Sandra M Lawrence M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SANDRA M LAWRENCE M.D. (NPI 1861489692) is an individual pediatric rheumatology provider in Fort Myers, Florida, licensed in Florida (ME61088) and active in the NPI registry since October 2005. She is enrolled in Medicare PECOS, maintains 3 additional practice locations, and is a graduate of Other (1994).

NPPES Registry Identity

NPI1861489692

Entity TypeIndividualFemale

Primary Taxonomy2080P0216X

Provider Legal NameSANDRA M LAWRENCECredential: M.D.

Location Address15901 BASS RD STE 102Fort Myers, FL 33908-3838

Mailing AddressPo Box 2147Fort Myers, FL 33902-2147 · (239) 343-9890 · Fax (239) 343-4080

Phone(239) 343-9890

Fax(239) 343-4080

Sole ProprietorYes

Medical School CMSOtherGraduated 1994

Enumeration DateOctober 6, 2005

Last NPPES UpdateApril 10, 20262 updates tracked since enumeration

NPPES CertifiedApril 10, 2026

✔ NPI 1861489692 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Pediatric RheumatologyAllopathic & Osteopathic Physicians

Taxonomy Code2080P0216X

License✔ Licensed in FL · ME61088

Definition

A pediatrician who treats diseases of joints, muscle, bones and tendons. A pediatric rheumatologist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and collagen diseases.

15901 BASS RD STE 102, Fort Myers, FL 33908

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Secondary Practice Locations 3

Location 11625 SE 3rd Ave, Suite 703Fort Lauderdale, FL 33316-2521 · Phone (954) 355-4360

Location 29960 Central Park Blvd N Ste 225Boca Raton, FL 33428-1705 · Phone (954) 696-5623

Location 31508 SE 3rd AveFort Lauderdale, FL 33316-2502 · Phone (954) 696-5623

Other Identifiers 1

Medicaid255036900FL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AvMed, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company).Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Sandra M Lawrence M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1456833458

PECOS Enrollment IDI20260306003107

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 15

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

VIOLA ELISABETH BATDORF ARNP, NNP-BC

Nurse Practitioner (Neonatal)